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There may be obstruction of small airways leading to chronic obstructive bronchitis and destruction of the alveolar walls, known as emphysema, resulting in air trapping, dyspnea, and diminished physical capacity

If fatigue is severe, persistent, or paired with dizziness, weakness, repeated vomiting, or low glucose symptoms, it deserves medical attention

The study shows that people who dosed as little as once every two months maintained weight loss and other improved health markers

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[DOI] [PMC free article] [PubMed] [Google Scholar] 72.Imbery J.F., Bhattacharya S., Khuder S., Weiss A., Goswamee P., Iqbal A.K., Giovannucci D.R